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. 2024 Apr 18:69:1606962.
doi: 10.3389/ijph.2024.1606962. eCollection 2024.

Euthanasia and Physician-Assisted Suicide in People With an Accumulation of Health Problems Related to Old Age: A Cross-Sectional Questionnaire Study Among Physicians in the Netherlands

Frédérique W M Kraak-Steenken  1   2 , Sophie C Renckens  1   2 , H Roeline W Pasman  1   2 , Fenne Bosma  3 , Agnes van der Heide  3 , Bregje D Onwuteaka-Philipsen  1   2
Affiliations

Euthanasia and Physician-Assisted Suicide in People With an Accumulation of Health Problems Related to Old Age: A Cross-Sectional Questionnaire Study Among Physicians in the Netherlands

Frédérique W M Kraak-Steenken et al. Int J Public Health. .

Abstract

Objectives: We explored characteristics of people with an accumulation of health problems related to old age requesting euthanasia or physician-assisted suicide (EAS) and identified characteristics associated with granting EAS requests. Methods: We conducted a cross-sectional questionnaire study among Dutch physicians on characteristics of these people requesting EAS (n = 123). Associations between characteristics and granting a request were assessed using logistic regression analyses. Results: People requesting EAS were predominantly >80 years old (82.4%), female (70.0%), widow/widower (71.7%), (partially) care-dependent (76.7%), and had a life expectancy >12 months (68.6%). The most prevalent health problems were osteoarthritis (70.4%) and impaired vision and hearing (53.0% and 40.9%). The most cited reasons to request EAS were physical deterioration (68.6%) and dependence (61.2%). 44.7% of requests were granted. Granting a request was positively associated with care dependence, disability/immobility, impaired vision, osteoporosis, loss of control, suffering without prospect of improvement and a treatment relationship with the physician >12 months. Conclusion: Enhanced understanding of people with an accumulation of health problems related to old age requesting EAS can contribute to the ongoing debate on the permissibility of EAS in people without life-threatening conditions.

Keywords: accumulation of health problems related to old age; end-of-life care; euthanasia; medical decision-making; physician-assisted suicide.

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Conflict of interest statement

The authors declare that they do not have any conflicts of interest.

References

    1. Dutch department of justice. The Dutch Termination of Life on Request and Assisted Suicide (Review Procedures) Act. Ethical Perspect (2002) 9(2):176–81. - PubMed
    1. Onwuteaka-Philipsen BD, Legemaate J, van der Heide A, Van Delden JJM, Evenblij K, Hammoud I, et al. Derde evaluatie:Wet toetsing levensbeëindiging op verzoek en hulp bij zelfdoding [Third Evaluation: Law on the Review of the Termination of Life on Request and Assistance With Suicide]. Report (2017). - PubMed
    1. Court of Appeal Amsterdam. ECLI:NL:GHAMS:2001:AD6753 (2001).
    1. Hartog ID, Zomers M, Van Thiel GJMW, Leget C, Sachs APE, Uiterwaal CS, et al. Prevalence and Characteristics of Older Adults With a Persistent Death Wish Without Severe Illness: A Large Cross-Sectional Survey. BMC Geriatr (2020) 20(1):342. 10.1186/s12877-020-01735-0 - DOI - PMC - PubMed
    1. Schnabel P, Meyboom-de Jong B, Schudel WJ, Cleiren CPM, Mevis PAM, Verkerk MJ, et al. Voltooid leven. Over hulp bij zelfdoding aan mensen die hun leven voltooid achten. [Tired of Living. About Assisted Suicide for people Who Consider Their Lives complete] (2016). Available from: https://www.rijksoverheid.nl/documenten/rapporten/2016/02/04/rapport-adv... (Accessed April 5, 2023).

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